Burn Permit form

NOTIFICATION OF BURNING

Under provisions of Section 4, Act 329, P.A. 1959, notification is hereby received that
applicant will be burning the described during the period specified below.
NOTIFICATION IS NOT VALID FOR MORE THAT TWO (2) CONSECUTIVE DAYS.

No permits issued inside the village limits, or within 1400’ of the village limits.
All non-recreational Fires Must Be out by Dark

Permit to burn application

Applicants name  *
Address/ Township where you are burning.  *
Name of person conducting the burn  *
Applicants address if different from burn location  *
Phone Number  *
Burning Period (Days)  *
Beginning date  *
What is being burned?  *
 
  Please enter in the number below: